Hospital Case Management – August 1, 2017
August 1, 2017
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Case Management Roles Must Evolve to Meet Future Needs
As the healthcare system undergoes tremendous changes and payers shift to reimbursement based on quality, case managers need to develop skills that go beyond day-to-day care coordination and getting patients ready for discharge.
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There Are Care Coordinators Everywhere, but Who Is in Charge?
New jobs with titles like care manager, care coordinator, navigator, patient progression nurse, and transition coordinator are popping up in various settings including hospitals, home health agencies, post-acute facilities, insurance companies, or community organizations.
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Communication Is Key to Good Patient Outcomes
Communication is one of the biggest shortcomings of today’s health system — and it’s getting worse, experts say.
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Case Managers in All Settings Work Together in a Health Home Program
Case managers across the continuum work closely to coordinate care in New York state’s health homes, aimed at improving care for high-cost Medicaid beneficiaries.
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Multipronged Initiative Cuts Readmission Rate
Lee Health, a four-hospital health system in southwest Florida, takes a multipronged approach to reducing readmission for patients with chronic conditions.
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Gain Skills Through Clinical Nurse Leader Program
As the healthcare system changes and roles evolve, case managers should look for opportunities like the clinical nurse leader program to gain the skills they need to succeed.
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Readmissions Reduced to 7.8% with Nursing Intervention at Home
Hospitals can significantly reduce readmissions with a multilayered program tailored to the needs of individual patients, according to the experience of an Arizona health system.
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Most Hospitals Penalized in HRRP All Five Years
CMS penalized more than half of hospitals participating in the Hospital Readmissions Reduction Program initiated by the Affordable Care Act in all five years of the program — but penalties were less common for hospitals treating the most medically complex patients, according to a recent analysis.